Healthcare Provider Details

I. General information

NPI: 1467254763
Provider Name (Legal Business Name): SAFE HAVAN RIDES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 04/04/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2709 DOVER GARDENS DR
ARLINGTON TX
76017-4229
US

IV. Provider business mailing address

2709 DOVER GARDENS DR
ARLINGTON TX
76017-4229
US

V. Phone/Fax

Practice location:
  • Phone: 504-313-3303
  • Fax:
Mailing address:
  • Phone: 504-313-3303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MS. KENYA M. MCDANIELS
Title or Position: OWNER
Credential:
Phone: 504-657-6220